Appendectomy Nursing Care Plan &
Management
Definition
● The excision of the appendix usually performed to remove an acutely inflamed
organ.
● Many surgeons perform an appendectomy as a prophylactic procedure when
operating in the abdomen for other reasons. This procedure is then referred to as an
incidental appendectomy.
Position
● Supine, with arms extended on armboards
Incision Site
, ● McBurney (muscle splitting) incision.
Packs/ Drapes
● Laparotomy pack
● Four folded towels
Instrumentation
● Major Lap tray or minor tray
● Internal stapling device
Supplies/ Equipment
● Basin set
● Blades
● Needle counter
● Penrose drain
● Culture tubes
● Solutions
● Sutures
● Internal stapling instruments
● Medication
Procedure
1. An incision is made in the right lower abdomen, either transversely oblique
(McBurney) or vertically (for a primary appendectomy).
2. The surgeon’s assistant retracts the wound edges with a Richardson or similar
retractor.
Management
Definition
● The excision of the appendix usually performed to remove an acutely inflamed
organ.
● Many surgeons perform an appendectomy as a prophylactic procedure when
operating in the abdomen for other reasons. This procedure is then referred to as an
incidental appendectomy.
Position
● Supine, with arms extended on armboards
Incision Site
, ● McBurney (muscle splitting) incision.
Packs/ Drapes
● Laparotomy pack
● Four folded towels
Instrumentation
● Major Lap tray or minor tray
● Internal stapling device
Supplies/ Equipment
● Basin set
● Blades
● Needle counter
● Penrose drain
● Culture tubes
● Solutions
● Sutures
● Internal stapling instruments
● Medication
Procedure
1. An incision is made in the right lower abdomen, either transversely oblique
(McBurney) or vertically (for a primary appendectomy).
2. The surgeon’s assistant retracts the wound edges with a Richardson or similar
retractor.
